Theodore Glenn Sample Jr
ActiveCalifornia license A46311
License
- Licensed by
- Medical Board of California
- License number
- A46311
- Status
- Active (Current)
- First issued
- July 24, 1989
- Expires
- May 31, 2027
- License holder
- Theodore Glenn Sample Jr
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
537 Crown Pointe Estates Ct
Wildwood, MO 63021-2012
Wildwood, MO 63021-2012
St. Louis County